London's Pulse: Medical Officer of Health reports 1848-1972

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Marylebone 1913

[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]

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31
The following table, which was included for the first time in the Report for 1912,
is repeated, as it lends further support to the view then expressed that cancer was in
no sense a class disease, since if those who died at home or in nursing homes are taken
to represent the rich or well-to-do, and those who died in hospitals or the infirmary
the less favourably circumstanced, the one group suffered equally with the other.
At Home
In Nursing
Homes.
In Hospitals.
In Infirmary.
In Asylums.
Total.
Males
Females
Totals
19
34
53
6
11
17
17
19
36
26
20
46
3
1
4
71
85
156
ALCOHOLISM.
The number of deaths certified as directly due to alcoholism was 8, two more
than in 1912. Cirrhosis of the liver, a condition in most cases probably resulting
from abuse of alcohol, was held to be accountable for 19 deaths as against 15 in the
previous year.
The combined figure for these two causes is higher by 4 than that for 1912, viz.,
27 as against 23.
The deaths from other conditions due to the irritation produced in various organs
by chronic alcoholism, e.g., nephritis (inflammation of the kidneys) and Bright's
disease of the kidneys numbered 64 (.58 per 1,000). The number in 1912 was 56.
ACCIDENT, SUICIDE AND MANSLAUGHTER.
Accidental or violent deaths during 1913 numbered 70. Of these 15 were due
to suicide. Deaths of babies certified as resulting from suffocation (overlying)
numbered 3.
RECORDS OF DISEASE.
The diseases considered under this heading are those made compulsorily notifiable
by Section 55 of the Public Health (London) Act, 1891; diseases declared to be
notifiable under Orders made by the London County Council: tuberculosis notifiable
under Regulations of the Local Government Board, and certain other diseases which
though not notifiable are infectious, viz., measles, whooping cough, and diarrhoea.
The diseases named in the Public Health (London) Act are smallpox, cholera,
diphtheria, membranous croup, erysipelas, scarlet lever, typhus, typhoid or enteric,
relapsing, continued and puerperal tevers.
Those added by the London County Council are Cerebro-spinal fever, glanders,
anthrax, hydrophobia, acute polio-encephalitis and myelitis and ophthalmia
neonatorum.